• KOL
    • Hip Fractures
    • Clinical Practice...
    • Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures: Influence Statistics

      Expert Impact

      Concepts for whichthey havehas direct influence:Hip fractures,Postoperative rehabilitation,Hip fracture,Recovery hip,Patients hip,Embase cochrane.

      Key People For Hip Fractures

      Top KOLs in the world
      #1
      Lee Joseph Melton,
      olmsted county fracture risk irritable bowel syndrome
      #2
      Steven Ron Cummings
      hip fracture breast cancer older women
      #3
      Cyrus C Cooper
      hip fracture grip strength hertfordshire cohort study
      #4
      John A Kanis
      hip fracture postmenopausal women intervention thresholds
      #5
      Olof Johnell
      hip fracture bone mineral density internal fixation
      #6
      Jane A Cauley
      hip fracture older women breast cancer

      Clinical Practice Guideline for Postoperative Rehabilitation in Older Patients With Hip Fractures

      Abstract

      OBJECTIVE: The incidence of hip fractures is increasing worldwide with the aging population, causing a challenge to healthcare systems due to the associated morbidities and high risk of mortality. After hip fractures in frail geriatric patients, existing comorbidities worsen and new complications are prone to occur. Comprehensive rehabilitation is essential for promoting physical function recovery and minimizing complications, which can be achieved through a multidisciplinary approach. Recommendations are required to assist healthcare providers in making decisions on rehabilitation post-surgery. Clinical practice guidelines regarding rehabilitation (physical and occupational therapies) and management of comorbidities/complications in the postoperative phase of hip fractures have not been developed. This guideline aimed to provide evidence-based recommendations for various treatment items required for proper recovery after hip fracture surgeries.

      METHODS: Reflecting the complex perspectives associated with rehabilitation post-hip surgeries, 15 key questions (KQs) reflecting the complex perspectives associated with post-hip surgery rehabilitation were categorized into four areas: multidisciplinary, rehabilitation, community-care, and comorbidities/complications. Relevant literature from four databases (PubMed, EMBASE, Cochrane Library, and KoreaMed) was searched for articles published up to February 2020. The evidence level and recommended grade were determined according to the grade of recommendation assessment, development, and evaluation method.

      RESULTS: A multidisciplinary approach, progressive resistance exercises, and balance training are strongly recommended. Early ambulation, weigh-bearing exercises, activities of daily living training, community-level rehabilitation, management of comorbidities/complication prevention, and nutritional support were also suggested. This multidisciplinary approach reduced the total healthcare cost.

      CONCLUSION: This guideline presents comprehensive recommendations for the rehabilitation of adult patients after hip fracture surgery.

      Sign-in to see all concepts, it's free!

       

    Download on the App StoreGet it on Google Play

    Copyright © 2023 Key Opinion Leaders, LLC.